PATHFINDER INC. NPI 1912964305

NPI Information

NPI: 1912964305
Provider Name: PATHFINDER, INC.

Former Legal Business Name: PATHFINDER SCHOOLS, INC.

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
2520 W MAIN ST
JACKSONVILLE, AR
ZIP 72076
Phone: (501) 982-0528
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PATHFINDER, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, AR. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. PATHFINDER, INC. NPI is 1912964305. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Pathfinder Schools, Inc..

The provider's business location address is:

2520 W MAIN ST
JACKSONVILLE, AR
ZIP 72076-214
Phone: (501) 982-0528
Fax: (501) 985-1462

The provider's authorized official is James C Green .
The authorized official title is Director and has the following contact phone number (501) 982-0528.

The enumeration date for this NPI number is 4/28/2006 and was last updated on 11/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	121061732	MEDICAID	ARKANSAS
2	130113782	MEDICAID	ARKANSAS
3	125838767	MEDICAID	ARKANSAS
4	129567774	MEDICAID	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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